Prevalence of Urinary Incontinence and Coping Attitudes in Women With and Without Incontinence in Turkey

Year 2024, , 126 - 132, 16.01.2024

Sevgül Dönmez , Adile Tümer , Nevin Akdolun Balkaya

https://doi.org/10.33631/sabd.1270502

Abstract

Aim: Coping strategies are thought to be important in dealing with a problem that affects women's well-being and quality of life, such as incontinence (UI). This study was done to investigate the incidence of UI and coping attitudes in women without and with UI in Turkey.
Material and Methods: The descriptive study was carried out with 417 women who were applied in a Healthy Life Center located in Turkey. The study data were obtained using the International Consultation on Incontinence Questionnaire (Short Form) (ICIQ-SF) and Coping Orientations to Problems Experienced (COPE).
Results: It was found that 34.8% of women had UI. It was determined that women used more common problem and emotion-focused coping attitudes” which are functional coping attitudes. It was found that women with UI used "withdrawal" which are problem-functional coping attitude "acceptance" which are emotion-functional coping attitude and "denial" and "behavioral disengagement" which are dysfunctional coping attitudes more than women without UI.
Conclusion: It was determined that one third of the women had UI and they used more common problem-and emotion-focused coping attitudes. Although urinary incontinence has a chance of being treated, it is a condition that has major physical, psychosocial and economic effects on society, and is often reported to the health institution by women, and treatment is delayed.

Keywords

Urinary incontinence, Cope, Coping Attitudes, Women, Life of quality

İnkontinansı Olan ve Olmayan Kadınlarda Başa Çıkma Tutumlarının ve İnkontinans Sıklığının İncelenmesi

Abstract

Amaç: Başa çıkma stratejilerinin, inkontinans gibi yaşam kalitesini etkileyen durumlarda önemli olduğu düşünülmektedir. Bu çalışmanın amacı, inkontinansı olan ve olmayan kadınların başa çıkma tutumlarının ve inkontinans sıklığının incelenmesidir.
Gereç ve Yöntemler: Kesitsel-tanımlayıcı tipteki çalışma, Türkiye'nin güneybatısında yer alan bir Sağlıklı Yaşam Merkezi'ne başvuran 417 kadın ile gerçekleştirilmiştir. Çalışma verileri, Uluslararası İnkontinans Anketi Kısa Formu (ICIQ-SF) ve Başa Çıkma Tutumlarını Değerlendirme Ölçeği (BÇTDÖ) kullanılarak toplandı.
Bulgular: Çalışmaya katılan kadınların %34.8'inde inkontinans olduğu ve stres tipi inkontinansın daha fazla görüldüğü bulunmuştur. İnkontinanslı olan ve olmayan kadınlar arasında sorunlarla başa çıkma tutumlarının benzer olduğu saptanmıştır. İnkontinanslı olan ve olmayan kadınlar arasında sorunlarla başa çıkma tutumlarının benzer olduğu ve kadınlarının daha çok işlevsel olan duygu odaklı ve problem odaklı tutumlarını kullandıkları saptanmıştır. İnkontinanslı kadınlarının işlevsel başa çıkma tutumlarından problem odaklı olarak "geri durma" tutumunu; duygu odaklı olarak "kabullenme" tutumunu ve işlevsel olmayan başa çıkma tutumu olarak "inkar" ve "davranışsal olarak boş verme" tutumlarını, inkontinans olmayan kadınlara göre daha fazla kullandığı saptanmıştır.
Sonuç: Kadınların, yaklaşık üçte birinde inkontinans olduğu ve kadınlarının problem odaklı ve duygu baş etme yöntemlerini daha çok kullandıkları saptanmıştır. Üriner inkontinans tedavi edilme şansı olmasına rağmen topluma majör fiziksel, psikososyal ve ekonomik etkileri bulunan, kadınlar tarafından çoğu zaman sağlık kurumuna rapor edilmekte ve tedavi olmakta gecikilen bir durum olarak karşımıza çıkmaktadır.

Keywords

İnkontinans, Başa çıkma, Tutum, Kadın, Yaşam Kalitesi

References

• Israfil-Bayli F, Lowe1 S, Spurgeon L, Toozs-Hobson P. Managing women presenting with urinary incontinence: is hardiness significant?. Int Urogynecol J. 2015: 26(10): 1437-40. https://doi.org/10.1007/s00192-015-2739-0.
• Gümüşsoy S, Kavlak O, Dönmez S. Investigation of body image, self‐esteem, and quality of life in women with urinary incontinence. Int J Nurs Pract. 2019; 25(5): e12762. https://doi.org/ 10.1111/ijn.12762.
• Bardsley A. An overview of urinary incontinence. Br J Nur. 2016; 25(18): 14-21. https://doi.org/10.12968/bjon.2016.25.18.S14.
• Aoki Y, Brown HW, Brubaker L, Cornu JN, Daly JO. Urinary incontinence in women. Nat Rev Dis Primers. 2017; 6(3): 17042. https://doi.org/ 10.1038/nrdp.2017.42.
• Treister-Goltzman Y, Peleg R. Urinary incontinence among Muslim women in Israel: risk factors and help-seeking behavior. Int Urogynecol J. 2018; 29(4): 539-46. https://doi.org/ 10.1007/s00192-017-3438-9.
• Bedretdinova D, Fritel X, Zins M, Ringa V. The Effect of Urinary Incontinence on Health-related Quality of Life: Is It Similar in Men and Women?. Uro. 2016; 91(5): 83-9. https://doi.org/10.1016/j.urology.2015.12.034.
• Lim YM, Lee SR, Choi EJ, Jeong K, Chung HW. Urinary incontinence is strongly associated with depression in middle-aged and older Korean women: Data from the Korean longitudinal study of ageing. Eur J Obstet Gynecol Reprod Biol. 2017; 220(22): 69-73. https://doi.org/10.1016/j.ejogrb.2017.11.017.
• Delarmelindo RCA, Parada CMG, Rodrigues RA, Bocchi SC. Women’s strategies for coping with urinary incontinence. Rev Esc Enferm USP. 2013; 47(2): 296-302. https://doi.org/ 10.1590/s0080-62342013000200004.
• Bilgiç D, Bejı NK, Ozbas A, Çavdar İ, Aslan E, Yalcın O. Coping and help-seeking behaviors for management of urinary incontinence. Low Urin Tract Symptos. 2017; 9(3): 134-41. https://doi.org/10.1111/luts.12120.
• Grano C, Fernandes M, Aminoff D, Bucci S, Lucidi F, Violani C. The role of coping strategies on health-related quality of life in adults with anorectal malformations. Pediatr Surg Int. 2016; 32(8): 759-65. https://doi.org/10.1007/s00383-016-3911-4.
• Gandhi S, Jedel S, Hood MM, Mutlu E, Swanson G, Keshavarzian A. The relationship between coping, health competence and patient participation among patients with inactive inflammatory bowel disease. J Crohn’s Colitis. 2014; 8(5): 401-08. https://doi.org/10. 1016/j.crohns.2013.10.005.
• García FE, Barraza-Peña CG, Wlodarczyk A, Alvear-Carrasco M, Reyes-Reyes A. Psychometric properties of the Brief-COPE for the evaluation of coping strategies in the Chilean population. Psicol Reflex Crit. 2018; 31(1): 22. https://doi.org/10.1186/s41155-018-0102-3.
• Kaya Y, Derince D, Açıkgöz A, Baydemir C. Coping attitudes among nursing students. J Du Health Sci Inst. 2015; 5(3): 30-8.
• Janiszewska M, Barańska A, Kanecki K, Karpińska A, Firlej E, Bogdan M. Coping strategies observed in women with rheumatoid arthritis. Ann Agric Environ Med. 2020;27(3): 401-06. https://doi.org/10.26444/aaem/110958.
• Demirci N, Aba YA, Süzer F, Karadağ F, Ataman H. Urinary incontinance and its effects on life quality for women over 18. F U Med. J Health Sci. 2012; 7(19): 23-37.
• Irwin GM. Urinary incontinence. Prim Care. 2019; 46(2): 233-42. https://doi.org/ 10.1016/j.pop.2019.02.004.
• Karatas N. Sampling research. In: Erefe INursing Research Principles, Process and Methods. 3rd ed. Ankara: Focus Offset; 2004.
• Ertem G. Investigating urinary incontinence patients coping with their illness. J Hum Sci. 2009; 6(1): 178-87.
• Pedersen LS, Lose G, Høybye MT, Elsner S, Waldmann A, Rudnicki M. Prevalence of urinary incontinence among women and analysis of potential risk factors in Germany and Denmark. Acta Obstet Gynecol Scand. 2017; 96(8): 939-48. https://doi.org/10.1111/aogs.13149.
• Seshan V, Muliira JK. Self-reported urinary incontinence and factors associated with symptom severity in community dwelling adult women: implications for women’s health promotion. BMC Women's Health. 2013; 13(8): 16. https://doi.org/10.1186/1472-6874-13-16.
• Sensoy N, Dogan N, Ozek B, Karaaslan L. Urinary incontinence in women: prevalence rates, risk factors and impact on quality of life. Pak J Med Sci. 2013; 29(3): 818-22. https://doi.org/10.12669/pjms.293.3404.
• Çetinel B, Özkan B, Can G. The validation study of ICIQ-SF Turkish version. Urol Res Pract 2004; 30(3): 332-38.
• Ağargün MY, Beşiroğlu L, Kıran ÜK, Özer ÖA, Kara H. The psychometric properties of the COPE inventory in Turkish sample: a preliminary research. Alpha Psychiatry. 2005; 6(4): 221-6.
• Almousa S, van Loon AB. The prevalence of urinary incontinence in nulliparous adolescent and middle-aged women and the associated risk factors: A systematic review. Maturitas. 2018; 107(1): 78-83. https://doi.org/ 10.1016/j.maturitas.2017.10.003.
• Xue K, Palmer MH, Zhou F. Prevalence and associated factors of urinary incontinence in women living in China: a literature review. BMC Urol. 2020; 20(1): 159. https://doi.org/ 10.1186/s12894-020-00735-x.
• Danesh M, Gholamrezaei A, Torkzadeh F, Mirbagher L. Coping with stress in patients with inflammatory bowel disease and its relationship with disease activity, psychological disorders, and quality of life. Int J Body Mind Cult. 2015; 2(2): 1-10.
• van Tilburg M, Claar RL, Romano JM, Langer SL, Walker LS, Whitehead WE, Abdullah B, Christie DL, Levy RL. Role of coping with symptoms in depression and disability: comparison between inflammatory bowel disease and abdominal pain. J Pediatr Gastroenterol Nutr. 2015; 61: 431-36. https://doi.org/10.1097/MPG.0000000000000841.
• Folkman S, Lazarus RS. If it changes it must be a process: emotion and coping during three stages of a college examination. J Pers Soc Psyc. 1985; 48(1): 150-70. https://doi.org/10.1037//0022-3514.48.1.150.
• Toye F, Barker KL. A meta-ethnography to understand the experience of living with urinary incontinence: 'is it just part and parcel of life?. BMC Urol. 2020; 16; 20(1): 1. https://doi.org/ 10.1186/s12894-019-0555-4.
• De Gagne JC, So A, Wu B, Palmer MH, McConnell ES. The effect of a urinary incontinence self-management program for older women in south Korea: a pilot study. Int J Nurs Sci. 2015; 2(1): 39-46.
• Saleh N, Bener A, Khenyab N, Al-Mansori Z, Al Muraikhi A. Prevalence, awareness and determinants of health care-seeking behaviour for urinary incontinence in Qatari women: a neglected problem?. Maturitas. 2005; 50(1): 58-65. https://doi.org/10.1016/j.maturitas.2004.04.003.
• Wang C, Li J, Wan X, Wang X, Kane RL, Wang K. Effects of stigma on Chinese women’s attitudes towards seeking treatment for urinary incontinence. J Clin Nurs. 2015; 24(7–8): 1112-21. https://doi.org/10.1111/jocn.12729.
• Zhang N, He Y, Wang J, Zhang Y, Ding J, Hua KQ. Effects of a new community-based reproductive health intervention on knowledge of and attitudes and behaviors toward stress urinary incontinence among young women in Shanghai: a cluster-randomized controlled trial. Int Urogynecol J. 2016; 27(4): 545-53. https://doi.org/10.1007/s00192-015-2851-1.
• Vasconcelos CTM, Firmiano MLV, Oriá MOB, Vasconcelos Neto JA, Saboia DM, BezerraLRPS.Women's knowledge, attitude and practice related to urinary incontinence: systematic review. Int Urogynecol J. 2019; 30(2): 171-80. https://doi.org/10.1007/s00192-018-3759-3.
• Carver CS, Scheier MF, Weintraub JK. Assessing coping strategies: A theoretically based approach. Journal of Personality and Social Psychology. 1989; 56(2): 267-83. https://doi.org/10.1037//0022-3514.56.2.267.
• Cooke M, Peters E, Fannon D, Anilkumar AP, Aasen I, Kuipers E, Kumari V. Insight, distress and coping styles in schizophrenia. Schizophr Res. 2007; 94(1-3): 12-22. https://doi.org/10.1016/j.schres.2007.04.030.
• Adamczuk J, Szymona-Pałkowska K, Robak JM, Rykowska-Gornik K, Steuden S, Kraczkowski JJ. Coping with stress and quality of life in women with stress urinary incontinence. Prz Menopauzalny. 2015; 14(3): 178-83. https://doi.org/10.5114/pm.2015.54342.
• Pintos-Diaz MZ, Alonso-Blanco C, Paras-Bravo P, Fernandez-de-las-Penas C, Paz-Zulueta M, Fradejas-Sastre V, Palacios-Cena D. Living with urinary İncontinence: potential risks of women’s health? a qualitative study on the perspectives of female patients seeking care for the first time in a specialized center. Int. J. Environ. Res. Public Health. 2019; 16(19): 3781; https://doi.org/10.3390/ijerph16193781.
• Alizadeh A, Montazeri M, Shabani F, Bani S, Hassanpour S, Nabighadim M, Mirghafourvand M. Prevalence and severity of urinary incontinence and associated factors in Iranian postmenopausal women: a cross-sectional study. BMC Urol. 2023; 23(1): 18. https://doi.org/10.1186/s12894-023-01186-w.